KIMBERLY COUNCIL SLP
NPI 1437869781
Speech-Language Pathologist in St Augustine, FL

Active since November 28, 2022Accepts Medicare Assignment
190 SOUTHPARK BLVD STE 100, ST AUGUSTINE, FL 32086(904) 824-1478 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Council Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY COUNCIL SLP (NPI 1437869781) is an individual speech-language pathologist provider in St Augustine, Florida, licensed in Florida (SA10077) and active in the NPI registry since November 2022. She maintains a secondary practice location in Saint Johns and is a graduate of Other (2008).

NPPES Registry Identity

NPI1437869781
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY COUNCILCredential: SLP
Location Address190 SOUTHPARK BLVD STE 100St Augustine, FL 32086-4209
Mailing Address107 Wild Rose DrSaint Johns, FL 32259-8470 · (706) 540-9051
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 28, 2022
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1437869781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA10077
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
190 SOUTHPARK BLVD STE 100, St Augustine, FL 32086

Secondary Practice Location 1

Location 12430 County Road 210 W Ste BSaint Johns, FL 32259-2419 · Phone (904) 717-7782

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Council Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274067723
PECOS Enrollment IDI20241106004308

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Council reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
2430 COUNTY ROAD 210 W STE B
St Johns, FL 32259
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
Physical Therapist
363 GRANELLO AVE
Coral Gables, FL 33146
  • Reassigned Medicare billing, Florida enrollment
  • 248 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
105 services11 patients
Evaluation of speech sound production with evaluation of language comprehension and expression 92523
This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.
11 services11 patients

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Speech-Language Pathologist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist (Neurology)
190 SOUTHPARK BLVD STE 100
SAINT AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
SAINT AUGUSTINE, FL 32086
Speech-Language Pathologist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Council's NPI number?

The NPI number for Kimberly Council is 1437869781. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Kimberly Council located?

Kimberly Council practices at 190 Southpark Blvd Ste 100, St Augustine, FL 32086. The listed phone number is (904) 824-1478.

What is Kimberly Council's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kimberly Council enrolled in Medicare?

Yes. Kimberly Council is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Council's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Council reassigns Medicare benefits to 2 organizations: Rww Senior Living Outpatient Rehab Services, LLC (St Johns, FL) and Healthpro Heritage Rehab & Fitness, LLC (Coral Gables, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Council's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Council was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.